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Journal of Hand and Microsurgery

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https://www.readbyqxmd.com/read/28867916/a-method-to-facilitate-nonsticking-of-regular-bipolar-forceps
#1
Hui-Kuang Huang, Jung-Pan Wang
Electrosurgery using a bipolar cautery is very common, especially in surgical fields with surrounding vital structures. However, the tissue tends to stick to the bipolar forceps due to the heat cautery, which makes the tips stick together. When forceps tips are stuck to the cauterized tissue, surgeons have to spend time separating the tips. Also, when surgeons separate the tips, a cauterized bleeder may rebleed. Some bipolar forceps with nonstick coatings have been developed to reduce the sticking problem. However, for some surgeons or institutes, these nonstick bipolar forceps may be unavailable...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867915/optimizing-the-sequence-of-zone-1-extensor-tendon-repair
#2
Dariush Nikkhah, Wojciech Konczalik, Tiew Chong Teo
No abstract text is available yet for this article.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867914/an-unusual-case-of-posterolateral-rotatory-instability-of-the-elbow
#3
Luigi Tarallo, Raffaele Mugnai, Fabio Catani
No abstract text is available yet for this article.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867913/the-adipofascial-nerve-patch-as-an-alternative-to-grafting-in-partial-transection-of-a-peripheral-nerve
#4
Wojciech Konczalik, Amir H Sadr, Dariush Nikkhah
No abstract text is available yet for this article.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867912/deep-inferior-epigastric-perforator-free-flaps-for-use-in-complicated-groin-wound-repair-a-case-report-of-severe-groin-scar-contracture-and-review-of-pedicled-and-free-flaps-in-groin-wound-repair
#5
James D Kotick, Roger S Sandelin, Richard D Klein
The use of pedicled and free flaps for tissue transfer and coverage has become a common practice in modern plastic surgery. An area that presents considerable challenge for tissue coverage is the groin. Defects in this area are complicated by issues such as prior surgery; scar contracture; extension of the defect beyond the borders of the groin; radiation damage; high probability of infection; and involvement of vital underlying structures, the genitalia, and perineal and perianal area. Therefore, the choice of donor site and flap usage is often difficult...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867911/prolonged-bleeding-after-a-single-leech-application-in-pediatric-hand-surgery
#6
James D Kotick, Amir Taghinia
Use of the medicinal leech in microsurgery is common place for venous decongestion and can be associated with the need for transfusion over time and multiple applications. Here the authors present a case of profound, ongoing, life-threatening bleeding after a single leech application in pediatric microscopic surgery. There are no reports of such profound bleeding in the literature, and this case serves as a warning of the need for close surveillance in this subset of patients.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867910/hook-plate-fixation-for-the-thumb-ulnar-collateral-ligament-fracture-avulsion
#7
Ali Tabrizi, Ahmadreza Afshar
During a taekwondo competition, a 20-year-old female competitor injured her left thumb. There was pain, swelling, and tenderness at the ulnar side of the metacarpophalangeal joint. Plain radiography demonstrated an avulsion fracture with a small-size fragment at the base of the proximal phalanx. A mini hook plate was used to repair the lesion. The patient was satisfied with the results and returned to her sports activities after 2 months.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867909/survival-rate-of-limb-replantation-in-different-age-groups
#8
Masahiro Tatebe, Shiro Urata, Kenji Tanaka, Toshikazu Kurahashi, Shinsuke Takeda, Hitoshi Hirata
Revascularization of damaged limbs/digits is technically feasible, but indications for surgical replantation remain controversial. The authors analyzed the survival rate of upper limb amputations and the associated factors in different age groups. They grouped 371 limb/digit amputees (average age, 44 years; range, 2-85 years) treated in their hospital during the past 10 years into three groups based on age (young, ≤ 15 years, n  = 12; adult, 16-64 years, n  = 302; elderly, ≥ 65 years, n  = 57) and analyzed their injury type (extent of injury and stump status), operation method, presence of medical complications (Charlson comorbidity index), and survival rate...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867908/using-the-rasch-model-to-develop-a-measure-of-participation-capturing-the-full-range-of-participation-characteristics-for-the-patients-with-hand-injuries
#9
Maryam Farzad, Fereydoun Layeghi, Ali Hosseini, Gale Whiteneck, Ali Asgari
Objective  The purpose of this paper was to report on the first step in the development of a new instrument to measure participation including the full range of its characteristics. Methods  The 30-item participation behavior questionnaire (PBQ) was developed from four main sources (a literature review of the theatrical basis of participation, available participation measures, and interviews with patients and experts about participation). Item selection and the reliability and validity of the measure were explored using Rasch measurement modeling for analysis...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867907/preemptive-analgesia-in-thumb-basal-joint-arthroplasty-immediate-postoperative-pain-with-preincision-versus-postincision-local-anesthesia
#10
Joseph T Labrum, Asif M Ilyas
Purpose  Currently no guidelines exist for the timing of the injection of anesthetics in surgeries performed under general anesthesia to minimize postoperative pain. To better understand the role of timing of the injection of local anesthesia in hand surgery performed under general anesthesia, we evaluated the effect of pre- versus postincisional local analgesic injection on immediate postoperative pain experience. We hypothesize that the preincisional (preemptive) injection will result in decreased immediate postoperative pain experience and analgesic use when compared with postincisional injection...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867906/open-carpal-tunnel-release-outcomes-performed-wide-awake-versus-with-sedation
#11
Jacob E Tulipan, Nayoung Kim, Jack Abboudi, Christopher Jones, Frederic Liss, William Kirkpatrick, Michael Rivlin, Mark L Wang, Jonas Matzon, Asif M Ilyas
Background  Carpal tunnel release (CTR) is the most common surgery of the hand, and interest is growing in performing it under local anesthesia without tourniquet. To better understand differences, we hypothesized that patients undergoing CTR under wide-awake local anesthesia with no tourniquet (WALANT) versus sedation (monitored anesthesia care [MAC]) would not result in a difference in outcome. Methods  Consecutive cases of electrodiagnostically confirmed open CTR across multiple surgeons at a single center were prospectively enrolled...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867905/motor-examination-in-the-diagnosis-of-carpal-tunnel-syndrome
#12
Mithun Neral, Joseph E Imbriglia, Lois Carlson, Ronit Wollstein
The relative importance and use of motor evaluation to diagnose carpal tunnel syndrome (CTS) is not clear. Because the ulnar nerve is not affected in CTS, we evaluated comparing the strength of the median-nerve innervated muscles to the ulnar innervated muscles in the same patient, through manual muscle testing (MMT) and a handheld dynamometer. Our purpose was to evaluate whether this method, which takes into account patient-dependent factors that would affect both groups of muscles equally, can provide better assessment of CTS...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867904/versatility-of-free-cutaneous-flaps-for-upper-extremity-soft-tissue-reconstruction
#13
REVIEW
Howard D Wang, Jose C Alonso-Escalante, Brian H Cho, Ramon A DeJesus
The goals of upper extremity soft tissue reconstruction should go well beyond providing coverage and restoring function. As the field of reconstructive microsurgery has evolved, free cutaneous flaps (FCFs) are gaining wider application. The advantages of FCF include minimizing donor-site morbidity by preserving the muscle and fascia, improving versatility of flap design, and superior aesthetic results. This review highlights the application of anterolateral thigh, superficial circumflex iliac artery, deep inferior epigastric perforator, superficial inferior epigastric artery, and flow-through flaps for reconstruction of upper extremity defects...
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28867903/hand-surgeons-more-need-of-the-hour
#14
EDITORIAL
J Terrence Jose Jerome
No abstract text is available yet for this article.
August 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442868/use-of-biobrane-glove-finger-sleeves-on-nonintended-burn-wounds-of-the-hand-a-cost-saving-method
#15
Esther Tan, H J Lee, S J Chong
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442867/a-symbol-of-resilience-the-prayerful-hands-of-mary-queen-and-mother
#16
Michael P Gaspar, Jonathan P Gaspar, Patrick S Gaspar
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442866/lateral-subluxation-of-the-fifth-carpometacarpal-joint
#17
Takuma Wakasugi, Ritsuro Shirasaka, Koji Fujita
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442865/microsurgery-training-does-it-improve-surgical-skills
#18
Gustavo Vinagre, Jordan Villa, Santiago Amillo
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442864/multiple-plexiform-neurofibroma-of-the-hand-misdiagnosed-as-ganglion-cyst
#19
Daniel Dreyfuss, Ido Stahl, Edward Calif
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/28442863/radial-nerve-injury-after-venipuncture
#20
Steven D Oven, Jason D Johnson
No abstract text is available yet for this article.
April 2017: Journal of Hand and Microsurgery
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